CASE REPORT
Year : 2014  |  Volume : 7  |  Issue : 6  |  Page : 760-763

Laparoscopic management of left-sided appendicitis in situs inversus totalis


Department of Surgery, Dr. D. Y. Patil Medical College, Hosptial and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, Maharashtra, India

Correspondence Address:
Sangram Jadhav
Department of Surgery, Dr. D. Y. Patil Medical College, Hosptial and Research Centre, Dr. D. Y. Patil Vidyapeeth, Sant Tukaram Nagar, Pimpri, Pune - 411 018, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0975-2870.144869

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Situs inversus totalis is a rare autosomal recessive inherent disease in which the thoracic and abdominal organs are transposed. Incidence in the general population is only 0.001-0.01%. Symptoms of appendicitis may appear in the left lower quadrant making the diagnosis difficult. We report a case of left-sided appendicitis diagnosed preoperatively after dextrocardia that was detected by X-ray chest and ultrasonography revealed long retrocecal appendix in left iliac fossa with loops of bowel clumped in the area. The patient underwent laparoscopic appendectomy and post-operative recovery was uneventful. Although, technically more challenging because of the mirror nature of the anatomy, we used the conventional 3-port techniques after laparoscopic confirmation of anatomy and not the mirror image technique as is normally practiced. This method also provided the same comfort level to the surgeon.


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